Individual
DR. STEFANIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2855 N KEYSTONE AVE, SUITE 100, INDIANAPOLIS, IN 46218-2789
(317) 957-2300
(317) 957-2320
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301094662
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301094662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201149650
—
IN
Enumeration date
06/16/2009
Last updated
11/13/2013
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